| NPI | 1902231392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 37798) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 23759) |
| 183500000X Pharmacist (Licence: VA 0202212613) | |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2015-02-03 |